Jacob Paul Riccardi, OTRL - Occupational Therapist in Fairhaven, MA

Jacob Paul Riccardi, OTRL is a Occupational Therapist based in Fairhaven, Massachusetts. Jacob Paul Riccardi is licensed to practice in Massachusetts (license number 11218) and his current practice location is 184 Main Street, Fairhaven, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (508) 997-3193.

NPI number for Jacob Paul Riccardi is 1093110868 and his current mailing address is 90 Charles Drive Unit 1, Tiverton, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093110868.

Contact Information

Jacob Paul Riccardi, OTRL
184 Main Street,
Fairhaven, MA 02719
(508) 997-3193
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJacob Paul Riccardi
GenderMale
SpecialityOccupational Therapist
Location184 Main Street, Fairhaven, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093110868
  • Provider Enumeration Date: 10/23/2014
  • Last Update Date: 10/23/2014

Medical Identifiers

Medical identifiers for Jacob Paul Riccardi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093110868NPI-NPPES
11218OtherMANBCOT LICENSURE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 11218 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Paul Riccardi is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Paul Riccardi, OTRL
90 Charles Drive Unit 1,
Tiverton, RI 02878

Ph: () -
Jacob Paul Riccardi, OTRL
184 Main Street,
Fairhaven, MA 02719

Ph: (508) 997-3193

Reviews and Comments


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Practice Location: 352 Dana Farms, Fairhaven, MA 02719
Phone: 774-226-6713    

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